Sjögren's disease & overlap diseases

Thirsty eyes: a look at dry eyes in autoimmune/inflammatory syndrome induced by adjuvants

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

ASIA-BII patients suffer from dry eyes due to impaired tear production. The SSSQ was unable to differentiate SjD patients from ASIA-BII patients, however, biomarkers such as autoantibodies differ between SjD and ASIA-BII patients.

Study context

Population
Patients with ASIA-BII, Sjögren's Disease (SjD) and healthy controls from a single centre
Participants
78 / 16 / 17
Exposure
ASIA-BII vs SjD vs healthy controls
  • ASIA-BIIn = 78
  • SjDn = 16
  • Healthy controls (HC)n = 17reference
Outcome
Impaired tear production (Schirmer test <15mm)
Methodological detailssingle-centre, consecutive enrolment
  • Single-centre
  • Consecutive enrolment

Main finding

As reported in the abstract

Tear production in ASIA-BII (Schirmer test)

ASIA-BII: impaired tear production (Schirmer test <15mm)

73.1%

ASIA-BII: severe impairment of tear production (Schirmer's test <5mm)

47.4%

Observational data: associations, not effects.

Further findings

OutcomeP value
Severely impaired tear production, prevalenceASIA-BII vs SjD · similar in prevalenceP = 0.68

SSSQ scores and rates of abnormal SSSQ scores

Similar in ASIA-BII and SjD

Positive ANA, anti-Sjögren Syndrome-A (anti-SSA) and anti-Sjögren Syndrome-B (anti-SSB) antibodies

Frequency differed between ASIA-BII and SjD

Circulating naive helper T cells, ASIA-BII with severely impaired vs normal tear production (subgroup)

Reduction with severely impaired tear production
0.014

Original publication

Thirsty eyes: a look at dry eyes in autoimmune/inflammatory syndrome induced by adjuvants. Clin Exp Rheumatol. Published 1 September 2025. doi:10.55563/clinexprheumatol/h73rbn

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